Healthcare Provider Details

I. General information

NPI: 1285578229
Provider Name (Legal Business Name): KRISTEN KELLY NASH PHARMD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/18/2026
Last Update Date: 04/18/2026
Certification Date: 04/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2301 10TH AVE S
GREAT FALLS MT
59405-2967
US

IV. Provider business mailing address

601 21ST ST
BLACK EAGLE MT
59414-1119
US

V. Phone/Fax

Practice location:
  • Phone: 406-727-1376
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberPHA-PHA-LIC-122387
License Number StateMT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: